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1679146997
ABRAHAM TIRADO AYALA
WINTER HAVEN, FL
NPI
1679146997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCM103930)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
ABRAHAM TIRADO AYALA CBHCM
1604 17TH TER NE
WINTER HAVEN, FL 33881-4416
Phone number: 863-288-1635
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Mailing Address
ABRAHAM TIRADO AYALA CBHCM
1604 17TH TER NE
WINTER HAVEN, FL 33881-4416
Phone number: 863-288-1635
Copy
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